# ACE NURSES/AIDES REGISTRY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922376359
- **Authorized official:** MR. MARIUS OTHELLO GRIMES (OWNER)
- **Authorized official phone:** (770) 728-9252

## Contact information

- **Practice address:** 355 TALL OAKS DR SE UNIT 205, CONYERS, GA 30013-1616
- **Practice address phone:** (770) 728-9252
- **Practice address fax:** (678) 609-1631
- **Mailing address:** 25 MISSION POINTE LN, COVINGTON, GA 30016-6660
- **Mailing address phone:** (770) 728-9252
- **Mailing address fax:** (678) 609-1631

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251G00000X | Community Based Hospice Care Agency | 107-R-1014 | GA | — |
| 251J00000X | Nursing Care Agency | 107-R-1014 | GA | — |
| 253Z00000X | In Home Supportive Care Agency | 107-R-1014 | GA | Yes |
| 253Z00000X | In Home Supportive Care Agency | — | — | — |
| 311Z00000X | Custodial Care Facility | 107-R-1014 | GA | — |
| 385H00000X | Respite Care | 107-R-1014 | GA | — |

## Other

- **Enumeration date:** 12/13/2011
- **Last updated:** 03/09/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 003146883A | — | GA |